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<title>Invest Works</title>
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				<div id="form_page">
				<br/><br/>
					<form action="#" method="post">
						<fieldset>
							<legend>ECS Autosave for Systematic Investment Plan</legend>
							<table class="main_table">
								<tr>
									<td>First Name:</td>
									<td><input class="text_style" type="text" name="fname"></td>
								</tr>
								<tr>
									<td>Last Name:</td>
									<td><input class="text_style" type="text" name="lname"></td>
								</tr>
								<tr>
									<td>Folio no:</td>
									<td><input class="text_style" type="text" name="foliono"></td>
								</tr>
								<tr>
									<td>Name of the Scheme</td>
									<td><select>
											<option value="1">1</option>
											<option value="2">2</option>
											<option value="3">3</option>
											<option value="4">4</option>
									</select></td>
								</tr>
								<tr>
									<td>Plan</td>
									<td><input class="text_style" type="text" name="plan"></td>
								</tr>
								<tr>
									<td>Option</td>
									<td><input class="text_style" type="text" name="option"></td>
								</tr>
								
								<tr>
									<td>Monthly SIP date:</td>
									<td><input type="radio" name="sipdate">Standard(any
										date ofthe month) <input class="text_style" type="text"
										name="std_sipdate"> </br> <input type="radio"
										name="sipdate">Default(10th of every month)</td>
								</tr>
								<tr>
									<td>SIP enrollment period:</td>
									<td><input type="radio" name="sipstdmonth">Standard
									<input type="radio" name="sipstdmonth">Default</td>
								</tr>
								<tr>
									<td>Start date:</td>
									<td><input class="text_style" type="text" name="std_startmonth"></td>
								</tr>
								<tr>
									<td>End date:</td>
									<td><input class="text_style" type="text" name="std_endmonth"></td>
								</tr>
								<tr>
									<td>SIP installment amount Rs.:</td>
									<td><input type="radio" name="sipamount">5000
									<input type="radio" name="sipamount">10000
									<input type="radio" name="sipamount">25000
									<input type="radio" name="sipamount">50000
									<input type="radio" name="sipamount">100000</br>
									<input type="radio" name="sipamount">Other
									<input class="text_style" type="text" name="sipamount">
									</td>
								</tr>
								<tr>
									<td>Name of the Bank:</td>
									<td><input class="text_style" type="text" name="bankname"></td>
								</tr>
								<tr>
									<td>Branch:</td>
									<td><input class="text_style" type="text" name="branch"></td>
								</tr>
								<tr>
									<td>Account no:</td>
									<td><input class="text_style" type="text" name="accountno"></td>
								</tr>
								<tr>
									<td>City:</td>
									<td><input class="text_style" type="text" name="bankcity"></td>
								</tr>
								<tr>
									<td>Account type:</td>
									<td><input type="radio" name="accounttype">Current
										<input type="radio" name="accounttype">Saving <input
										type="radio" name="accounttype">Proprietorship <input
										type="radio" name="accounttype">NRO <input
										type="radio" name="accounttype">NRE <input
										type="radio" name="accounttype">FCNR <input
										type="radio" name="accounttype">Others</td>
								</tr>
								<tr>
									<td>MICR code:</td>
									<td><input class="text_style" type="text" name="bankcity"></td>
								</tr>
								<tr>
									<td>RTGS/NEFT:</td>
									<td><input class="text_style" type="text" name="bankcity"></td>
								</tr>
								
								<tr>
									<td><input type="submit" value="Save"></td>
									<td><input type="submit" value="Cancel"></td>
								</tr>

							</table>

						</fieldset>
					</form>


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